Evidence map›Paper›PMID 27169924›Full record

Observational studyBMC health services research2016

Assessment of the contribution of morbidity and mortality conferences to quality and safety improvement: a survey of participants' perceptions.

André Lecoanet, Gwenaëlle Vidal-Trecan, Frédéric Prate, Jean-François Quaranta, Elodie Sellier, Alizé Guyomard, Arnaud Seigneurin, Patrice François

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
9.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Morbidity and mortality conferences in general surgery: a narrative systematic review.Canadian journal of surgery. Journal canadien de chirurgie · 2020
    Pooled it
  2. Article
  3. Review
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  5. Article
  6. Review
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  9. The value of an "Endocarditis Team".Annals of cardiothoracic surgery · 2019
    Review
  10. Article
  11. Implementation status of morbidity and mortality conferences in Swiss hospitals: a national cross-sectional survey study.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2018
    Article
  12. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

André LecoanetPublic Health Department, University Hospital, Grenoble, F-38043, France.
Gwenaëlle Vidal-TrecanPublic health unit: Risk Management and Quality of Care, Paris Centre University Hospital Group, AP-HP, Paris, F-75014, France.
Frédéric PratePublic Health Department, University Hospital, Nice, F-06003, France.
Jean-François QuarantaPublic Health Department, University Hospital, Nice, F-06003, France.
Elodie SellierPublic Health Department, University Hospital, Grenoble, F-38043, France.
Alizé GuyomardPublic Health Department, University Hospital, Grenoble, F-38043, France.
Arnaud SeigneurinPublic Health Department, University Hospital, Grenoble, F-38043, France.
Patrice FrançoisPublic Health Department, University Hospital, Grenoble, F-38043, France. pfrancois@chu-grenoble.fr.
Université Joseph Fourier · FRCentre National de la Recherche Scientifique · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence for the effectiveness of the morbidity and mortality conferences in improving patient safety is lacking. The aim of this survey was to assess the opinion of participants concerning the benefits and the functioning of morbidity and mortality conferences, according to their organizational characteristics.

methodsWe conducted a survey of professionals involved in a morbidity and mortality conference using a self-administered questionnaire in three French teaching hospitals in 2012. The questionnaire focused on the functioning of morbidity and mortality conferences, the perceived benefits, the motivations of participants, and how morbidity and mortality conferences could be improved. The perception of participants was analysed according to the characteristics of morbidity and mortality conferences.

resultsA total of 698 participants in 54 morbidity and mortality conferences completed the questionnaire. Most of them (91 %) were satisfied with how the morbidity and mortality conference they attended was conducted. The improvements in healthcare quality and patient safety were the main benefits perceived by participants. Effectiveness in improving safety was mainly perceived when cases were thoroughly analysed (adjusted odds ratio [a0R] =2.31 [1.14-4.66]). The existence of a written charter (p = 0.05), the use of a standardized case presentation (p = 0.049), and prior dissemination of the meeting agenda (p = 0.02) were also associated with the perception of morbidity and mortality conference effectiveness. The development and achievement of improvement initiatives were associated with morbidity and mortality conferences perceived as being more effective (p < 0.01). Participants suggested improving the attendance of medical and paramedical professionals to enhance the effectiveness of morbidity and mortality conferences.

conclusionsMorbidity and mortality conferences were positively perceived. These results suggest that a structured framework and thoroughly analyzing cases improve their effectiveness.

Indexed as

Attitude of Health PersonnelMorbidityMortalityPatient SafetyQuality of Health CareAttitude to HealthConsumer BehaviorHospitals, TeachingHumansMalePerceptionQuality ImprovementSurveys and QuestionnairesHospitalMorbidity and mortality conferencesPatient safetyQuality improvement

Identifiers

PMID27169924
PMCPMC4865106
OpenAlexW2372854751

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.